| NPI | 1740667518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD480297) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.133552) |
| 207R00000X Internal Medicine (Licence: OH 57.027672) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2024-05-29 |